Autism, Aspergers, Rob Gorski,Special Needs Parenting, Reactive Attachment Disorder, Fibromyalgia,

Tag Archive: blood

Dec 19 2012

Operation Hope: Gavin’s moved home…for now

I wanted to let you know that Gavin was released from the hospital this evening around 7:30pm. I haven’t been able to update due to this site being down for a good while tonight. 

Basically, Gavin stabilized throughout the day and was no longer having significant orthostatic issues.

The problem was most likely medication related.  He hadn’t had his salt tabs for awhile and that threw his system out of whack. The salt tabs helped his body to retain fluids which make it easier for his heart to maintain his blood pressure.

Without the fluid retention bolstering his blood volume, his heart has to work harder to maintain.

This can also lead to the orthostatic issues as well.  Orthostatic issues are when his heart rate and or blood pressure changes whenever Gavin stands up or sits down.  Significant changes like see saw this morning can lead to him passing out.

He received fluids via IV and is doing better. 

We have decided to bring Gavin home, at least for now because we have to stay on top of his health and that’s too difficult to do when he’s living somewhere else. 

The other side of the coin is that he was coming home for Christmas break anyway and so we just brought him home a day or two early.

While this is far from ideal, we are going to to implement a very ridged structure that will hopefully help to keep him in line. We are working with his principal to help put that routine or schedule together.  She will also be available to us via email over break. We can reach out he we have a problem and she will send an email to Gavin addressing the problem or praising him for a good choice. 

I don’t know how this is going to work out but hopefully it will be relatively snag free.

Thank you all for you thoughts and prayers today.. We all appreciate it very much.

Permanent link to this article: http://lostandtired.com/2012/12/19/operation-hope-gavins-moved-home-for-now/

Dec 03 2012

Operation Hope: Medication Monday

Today is going to be a day of medication changes for the Lost and Tired family.  I’ve already discussed Elliott’s situation but I haven’t explained Gavin‘s. 

Tonight, Gavin will begin taking ativan as a means of suppressing his constantly elevated heart rate.

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We’re going intobthis knowing that there are some serious risk factors.  The combination of the ativan and the clozapine that he’s already on increases the risks of side effects for both drugs.

The ativan isn’t as big of a deal but the clozapine is.  Clozapine is the most tightly controlled medication in the United States. It’s been responsible for many deaths in the EU. The most serious and deadly side effect has to do with the destruction of immune system. 

If safely controlled and tightly monitored, Clozapine is an amazing anti- psychotic. In Gavin‘s case, it’s the last medication in this category that he has available to him. He has suffered no side effects and he has been on it well over a year now. 
He went from weekly blood work to biweekly blood work. Currently, he gets his blood work done one a month. 

The chances of any serious happening advantage result of the combination, should be minimal at this point

I know it may seem like a big risk. However, leaving his heart rate out of control is even more dangerous at this point.  Basically, it’s the lesser of the two evils. I’m not thrilled about this but we literally don’t have any other options at this point.  We have some of the best neurological minds in the world working on this and right now, this is our best shot.  

Lizze’s parents will have to watch him closely but that’s something they will do very well. 

It’s bad timing to begin this now but we have put it off for too long and honestly, it’s always going to be a bad time. 

Please keep Gvain in your thoughts and prayers. 

Permanent link to this article: http://lostandtired.com/2012/12/03/operation-hope-medication-monday/

Jul 26 2012

The Sh!t just keeps coming

We have an emergency on our hands. Somehow,  Bella ripped her toenail almost completely off.   It’s still connected and so she has to go to the vet this afternoon, 45 minutes prior to Dr.  Reynolds. 

They quoted us about $100,  worst case scenario.

They said the nail will likely have to be removed and that just sounds like torture.

I can only assume that I’ve done something to bring this on my family.  It’s like we have this black cloud following overhead and when we are at our weakest,  it unleashes on us. 

Statically,  nothing else makes sense. I mean honestly, what are the odds of all this happening in the first place,  let alone to the same family?

The boys are all in a panic about this because they are the ones that found it.  There was blood everywhere and when Gavin noticed the blood he just freaked out.  He’s not a blood person.

Emmett’s worried about his best friend,  Elliott’s worried as well and Gavin‘s still stressed out about the blood.  He hasn’t actually expressed concern about Bella

Right now we have a sock taped on her foot so she can’t lick it. 

Is it Friday yet?

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**Thanks for reading**

       -Lost and Tired

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This was posted via WordPress for Android, courtesy of Samsung’s Galaxy S III. Please forgive any typos. I do know how to spell but auto-correct is working against me.

Permanent link to this article: http://lostandtired.com/2012/07/26/the-sht-just-keeps-coming/

Jul 25 2012

All I can say is WTF

I’m just a tad bit frustrated at the moment.  The nurse that I spoke with last night and this morning did not provide accurate information.  We were concerned yesterday because of the day to day,  extreme fluctuations of Gavin’s lithium levels.

This morning she reported to me that Gavin’s levels were so high because he had just taken his meds prior to the blood draw.

That turns out not to be the case.

Gavin was admitted Friday night and received his medications at 11pm that night.  They drew his blood around 7:30-8:00 am the following morning. 

At that point,  Gavin’s levels should have been low because he was due for another dose.  They call that being in a trough. Basically,  Gavin’s levels drop as time goes on.  This is why he takes it twice a day.  This maintains a constant level in his system.

However,  in Gavin’s case,  the opposite has happened. The bottom line is that Gavin’s body seems to be metabolizing his meds in an unpredictable manner.

This of course,  is a huge problem,  especially considering the meds we’re talking about.

We spoke with Cleveland and they are going to figure out what needs to happen and call us back.  They told us that he is going to need very frequent blood work,  because these are dangerous medications and we can’t afford to take any chances.

So to this I have to sayWTF.. Really,  WTF?

How do you give them wrong information?  I mean,  Jesus Christ,  it’s friggin right in front of you.

We went from being scared to relieved to being scared again,  since this time yesterday. This time however,  I’m passed off. . This is way too big a deal for simple mistakes like this to happen.

We would have made other arrangements if we had known what we know now. 

Our appointment with Dr.  Reynolds has been bumped up to tomorrow evening and he’ll know what to do.  My fear is that the only truly safe thing to do is take him off his meds

The thought of that scared the shit out of me. On the other hand,  so does the alternative.

It don’t even know what to think

**Thanks for reading**

       -Lost and Tired

Please join our Autism Help Forum

Look for “Autism Help” app at the Google Play Store

MyFreeCopyright.com Registered & Protected

This was posted via WordPress for Android, courtesy of Samsung’s Galaxy S III. Please forgive any typos. I do know how to spell but auto-correct is working against me.

Permanent link to this article: http://lostandtired.com/2012/07/25/all-i-can-say-is-wtf/

Apr 29 2012

#Autism: Surviving the unexpected

This coming week is perhaps the busiest we have ever had.  When you are a special needs parent your schedule and time are not your own.  They are instead occupied by whatever your child needs.

The Lost and Tired family is no stranger to this.

Having said that,  we will be pushed this week,  much farther than we have in the past.

Beginning Monday,  Emmett and I will drop Gavin and Lizze off at Akron Children’s Hospital for a period of 48 hours.  During this timeGavin will undergo a VEEG to determine just how bad his seizures are. This is important for obvious reasons.

During this time,  I will be home with Emmett.  Elliott will be at Lizze’s parents house.  They will take Elliott to school and Emmett and I will pick him up. They will then swing by after work and pick him back up.  We will do this thru Wednesday. Lots of fun.

Emmett and I will pick Lizze and Gavin up sometime Wednesday and bring them home. This of course, assumes that nothing goes wrong and requires us to adjust our plans once again.

However,  the homecoming will be short loved because Thursday morning we will have Gavin back at Akron Children’s Hospital.  This time he will be at the geneticist and undergo a chromosomal micro array.  Basically,  that is an extremely through genetic test that looks for over 1800 different genetic disorders. Emmett just had this done a few days ago.  We won’t get the results back for a very long time.

However, if we’re lucky,  we just might find the answers we are so desperately looking for.

Friday,  we will have Gavin to the Cleveland Clinic for his Dysautonomia consult. I mentioned awhile back that Gavin‘s pediatrician thinks he might have something called Dysautonomia.  Basically,  Dysautonomia is a blanket term for the autonomic nervous system not functioning properly.

In Gavin‘s case,  he can’t regulate his body temperature very well.  That is why he is always so over dressed,  regardless of how hot it is.  That’s could also be why he doesn’t sweat.

He also can’t regulate his blood pressure very well either. When he eats,  the moment any food hits his stomach, all the blood vessels in his intestines dilate and cause his blood pressure to crash.  This is why he goes to sleep after eating.

I have no idea how long we will be there or how many times we will have to come back.

Aside from the time involved in this week,  which is extensive,  we are going to go through a crapload of gas in the van. This would be a great example of why special needs families often struggle financially.  At anytime,  we can be faced with unexpected expenses that throw our delicate balance off and causing a domino effect that takes a great deal of time to recover from.

It’s just one of those things that we’ll have to just figure out.

My goal is to physically make it to everything and survive the challenges this week is going to present.  I hope and pray that we will find some answers that we need so that we can finally end the search and begin to help Gavin.

Please keep us in your thoughts and prayers. I fear we’re gonna need them this week.


Posted from WordPress for Android so please forgive any typos as auto-correct and I don’t see eye to eye. :-)

Permanent link to this article: http://lostandtired.com/2012/04/29/autism-surviving-the-unexpected/

Mar 10 2012

#Autism: The guilt of special needs parenting

 

#Autism: The guilt of special needs parenting

One of the things that I find very difficult to cope with as a special needs parent, is the endless guilt. When I talk about guilt in this post, I know that it’s not a rational feeling but it’s always there and feels just as bad. Raising three boys on the #Autism Spectrum is by no means an easy task. I can’t tell you how many times I reach a point where I don’t believe that I can go on. There is just so much that constantly happens and nothing is ever a simple fix. It’s exhausting to say the absolute least.

While the exhaustion is well, exhausting, it’s not what troubles me the most. 

What troubles me the most is the endless amount of guilt I feel for not doing better. This guilt is present every second of every minute of every hour of every single day. Perhaps that sounds dramatic to some but I assure you it’s the truth, at least my truth. I’m human and I can only deal with so much at a time. I can also only deal with so much, for so long. After awhile, it becomes harder and harder to get up in the morning. It becomes more and more difficult to maintain hope that a better day will come.

People on the outside can’t understand what this is like. It’s not their fault either. It’s like trying to understand what it feels like to be dying of some horrible disease, when you aren’t. That not your fault either. This is just one of those things that you have to experience to understand. When I say that, I don’t mean it as a slam or put down either, it’s just one of those things.

I’m going to share a personal story, in order to help you better understand where this guilt comes from.

My story, my truth

My youngest child with Autism, Emmett, has become more and more difficult to live with. I love Emmett more than I could ever express in words, however, his behaviors, as of late, are just more than what I able to handle and push me closer and closer to the brink of insanity. It’s pretty safe to say that his behaviors affect his brothers and my wife in a similar way, however, in this post I’m speaking only for myself.

Emmett is severely speech and language delayed. This makes communication a constant struggle as well as a constant source of frustration for everyone, especially Emmett.  I can’t imagine what it’s like to be scared, angry, in pain or just hungry and not be able to convey that to those who could provide you with relief from those things. I don’t think frustrating even comes close or does it justice.

Over the past year or so, Emmett has made great strides in this area and is now basically able to carry on very basic, very limited conversations. I have become pretty fluent in Emmett’s means of communication, but it’s not easy. There are some things that he can communicate very well and many, many more that he can’t.

This, in and of itself, would be challenging enough on the very best of days. However, when you add two other boys with Autism to the mix, it becomes a struggle that I honestly can’t begin to describe. Emmett, over the past several months has begun presenting with more and more Autistic traits. He has become a perfectionist to the point of crippling his life. Everything has to be perfect of Emmett simply can’t move forward. Things like, breakfast, lunch and dinner typically involve blood curdling screaming, until we can figure out what he wants. Even when we manage to figure out what he wants, the challenge is often just beginning. We still have to get him to eat. If his food isn’t perfect or he perceives an imperfection….well…Houston, we have a problem.

He has also become very, very aggressive with his brothers, my wife (his mother) and even the dogs. He goes out of his way to cause trouble. Emmett will run upstairs simply to trash the rooms belonging to his brothers. He trashes their beds and empties their drawers.

I can’t figure out what the motive behind these things are. He gets plenty of positive attention, all the time.

His brothers don’t take this well and it sets into motion an unending cycle of chaos and screaming. It is so bad at times that we literally count the minutes to Friday evening, when he can possibly go to his grandparents house for the night. Last night was one of those Fridays that we long for all week.

The unending guilt

This is where the guilt comes in to play it’s nasty little game with me. I actually reach a point where I can’t wait until he’s gone. I so desperately need the screaming, fighting and chaos to stop that I actually look forward to him leaving. Most of the time, he loves going and his grandparents love to spend time with him. However,    there are times that he doesn’t want to go and I send him anyway. I know he’s going to have a good time once he’s  there and the rest of the Lost and Tired family, including myself, needs the break from his behaviors.

I always feel like a monster sending him away. I feel guilty for not having more patience with his behaviors and not having the strength to cope better without requiring him to leave.

I realize that this is an irrational guilt but it’s guilt nonetheless. The simple fact that I enjoy the time basking in a much quieter, more peaceful and less chaotic house, makes me feel even more guilty. I know it doesn’t make sense but at the same time, it does.

When the phone call comes the next morning, to let us know he’s on his way back, I always have mixed feelings. I do miss Emmett while he’s gone. What  I don’t miss however, is his behaviors. Unfortunately, at this point, Emmett and his behaviors are a package deal. In other words, I can’t have one with out the other and that’s where the mixed feelings come into play. I’m excited to see and hug my little Emmett John but at the same time, I know that everything is going to pick right back up where it left off.

It’s only a matter of time before the fighting, screaming and chaos takes hold of the Lost and Tired family once again.

It seems that each and every time this happens, I’m left with less and less, patients and ability to cope. The seconds, minutes, hours and days become much longer. I will reach a point where I even become resentful because of how these behavioral problems negatively affect my family, especially Lizze. The stress, noise and chaos, make what Lizze is already going through, that much worse. It’s not like when everything slows down, she gets better. All of this has an accumulative affect on her health.

The reality is that Emmett’s behaviors are not the only one to blame here. Elliott’s constant anxiety adds a great deal to the mix as does everything that Gavin has going on, which is a lot.  I just choose to focus on one aspect of this for the purposes of this post.

As a father, I can’t tell you just how horrible I feel when I experience the feelings of resentment. I know that I’m only human and that it’s perfectly normal to feel that way, especially when faced with the struggles that I am faced with, every single day of my life. Having said that, I’m not absolved of any guilt. I still feel like a bad father or a failure as a parent when I get to this point.

The reality of the situation

After me writing everything above and after you have finished reading it, we are left with reality. As a special needs father, I prefer to always deal with the reality of a situation. I would rather know what I’m up against than constantly wonder whats around the next corner.

For me, the reality of the special needs parenting situation is that nothing is ever going to be easy.  Life is always going to be a cornucopia of challenges, heartache, setbacks, steps forward and even the occasional victory. I don’t think that I was created with limitless ability, patience or resources needed to better cope. In fact, I know I wasn’t. Despite having a job that often requires superhuman abilities, I only human and therefore can only do so much.

I have found that guilt is going to be an inevitable part of my journey. Whether the guilt is warranted or not, it will more than likely, always be there.

No matter how much I put into this journey, I will always end up a day late and a dollar short. However, it won’t be for lack of trying, that much I can swear to. I have to learn to understand and even embrace my limitations. They aren’t necessarily a sign of weakness or failure. In fact, it’s entirely possible these limitations are in place for a reason. Maybe they help to keep me centered and in check.

Honestly, if these limitations were not there, I would have probably run myself into the ground, far worse than I already have, trying to do and be, everything for my family. These limitations, force me to stop and take care of myself, otherwise I would likely never stop. Perhaps it’s like a checks and balances kinda thing.

Regardless of anything, the guilt still remains, because I love my family and I know they deserve so much more than I can do for them. While I don’t relish the idea of always feeling guilty, it’s going to be one of those crosses I have to bare. Maybe someday, I can find a way to cut myself some slack. However, until then, I just have to keep on keeping on.

 

Permanent link to this article: http://lostandtired.com/2012/03/10/autism-the-guilt-of-special-needs-parenting/

Feb 13 2012

#Autism and a MAJOR victory

The Lost and Tired family has its hands full raising three boys on the #Autism Spectrum. We experience many, many struggle and setbacks. Unfortunately, for our family, the difficulties often out weigh the positives.

Having said that, we do, on occasion, have what I consider to be major victories.

This is one such moment.

Gavin is easily our most complex and challenging child. As a result of his health/mental health issues, he has frequent blood work done. For years and years, this was a complete nightmare. We would have to call ahead in order to make arrangements to have enough staff on hand to successfully draw his blood.

That may sound like overkill but you would have to see it to believe it. Even our parents didn’t understand until we brought them along for support. Needless to say, it was an eye opening and ear piercing experience.

I will admit that quite often I would end up in tears at what had to be done in order to get what we needed to help him.

It was emotionally traumatizing for all involved, especially Gavin.

Fast forward a year or so and we find ourselves at this appointment. Gavin needed to have his biweekly blood work done so one of his prescriptions could be refilled.

Lately he has been doing much better. However, we still experienced a great deal of drama with each visit.

However, noting could have prepared me for the monumental step forward he would make at this blood draw. This is actually the first one I have ever recorded and it just happened to be the best he has ever done.

Words can’t express just how proud of him I am. He didn’t even flinch, yell at the lab tech or scream like someone was cutting his fingers off.

He did absolutely awesome.  This was a major victory for Gavin.

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Permanent link to this article: http://lostandtired.com/2012/02/13/autism-and-a-major-victory/

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